For the high/low dieter, eating out is not a major problem. It's the total weekly or monthly caloric intake that is important, as long as the quality is high. If you eat out often, you must be somewhat restrictive. But concentrate mainly on the quality of the diet, rather than on simply its caloric content. Don't eat the white bread and butter most restaurants put on the table for you to nibble while you are waiting for the main course. Either don't choose a high fat meal or, with your doctor's permission , 15 minutes before the meal take one packet of cholestyramine in a glass of water. Cholestyramine largely prevents the absorption of fats . It appears completely safe: it was used in the 7 year National Heart, Lung and Blood Institute study of the effect of lowering cholesterol on heart disease , and was taken by several thousand men at the rate of 6 packages per day without evident harm. Pectin has a similar but less powerful effect in hindering fat absorption.
A number of good books contain suggestions about how to dine out without being too unhealthful. Pritikin's is one of the best, and again, Jane Brody's Nutrition Book has excellent suggestions. But if you are careful to stay on the high low diet at home, you can be more liberal outside, provided that you insist on quality. In addition, look on the menu for items cooked without added fat: steamed, cooked in own juice, broiled, roasted, or poached would be okay, Avoid items sauteed, fried, braised, creamed, escalloped, pickled, or smoked.
You may also take advantage of the fact that some restaurants are now offering low calorie, low fat meals, which in some instances are of gourmet quality. Marriott Hotels calls this its "Good for You Program." It follows the guide lines set by the American Heart Association, The meals are on its regular menu but are marked with the American Heart Association seal. The seal is also on special meals served at Sheraton Hotel restaurants, and on American Airlines. Fairmont Hotels have a similar "Fairmont Fitness Menu." The entire chain of eighteen Four Seasons Hotels presents its low calorie "Four Seasons Alternative" in which a three course dinner totals no more than 650 calories. Hyatt Hotels has 600 calorie "Perfect Balance" meals on its menus. Holiday Inns is introducing a "Gourmet Health Menu" into its Asian chain. Sumptuous diet food is now the aim of many a resort from coast to coast: Gurney's Inn in Montauk, New York, Palm Aire in Pompano Beach, Florida; Sonoma Mission Inn in Sonoma, California. The trend was started some years ago with the "spa cuisine" of New York's Four Seasons restaurant. In adopting the high low diet for health and longevity, first concentrate on switching toward the highest possible quality of food. You will find it far easier to limit your calories if the quality is high. And as you become accustomed to a perfectly balanced, high quality intake, you will very likely begin spontaneously to lose weight, and it will be easy to keep this up by a gradual reduction in total calories.
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